Annexure 1 6y714m
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Annexure 1- Specimen Certificate of Identity/Residence SPECIMEN CERTIFICATE OF IDENTITY/RESIDENCE (TO BE ISSUED ON THE OFFICIAL LETTER HEAD OF THE ISSUING AUTHORITY) This is to certify that Mr/Ms ____________________ son/daughter/wife/husband/ward ______________________ is known to me. His/her photograph is attached and is duly attested by me. His/her current address is as under: Current Address of the Resident:
Place: (Office Address & Location)
Date: Signature: Full Name: Designation Telephone No.:
Official Seal
(To be signed personally by the issuing authority. Proxy signatures are not allowed.) i i Registrar
shall translate this document into local language
Place: (Office Address & Location)
Date: Signature: Full Name: Designation Telephone No.:
Official Seal
(To be signed personally by the issuing authority. Proxy signatures are not allowed.) i i Registrar
shall translate this document into local language
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